Individual provider Active NPI

Shoaib Alam, MD

  • Pulmonary Disease Physician
  • Glen Allen, VA
National Provider Identifier
1962451245
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
0101244150 Issued in VA
Practice address
9100 Pond Mill CT
Glen Allen, VA 23060-2858
Phone
(717) 608-0040
NPI assigned
May 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 010244150 VA
Pulmonary Disease Physician 207RP1001X 0101244150 VA Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 0101244150 VA

Addresses

Primary practice location

9100 Pond Mill CT
Glen Allen, VA 23060-2858

Mailing address

9100 Pond Mill CT
Glen Allen, VA 23060-2858
Phone (717) 608-0040

Other practice location 1

519 Harriet St
Evansville, IN 47710-1715
Phone (812) 450-7720

Other practice location 2

4015 Gateway Blvd
Newburgh, IN 47630-8925
Phone (812) 450-7720

Other identifiers 2

IdentifierTypeStateIssuer
300021573MedicaidIN
1009558420001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, AR, IN, OK5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20150601000865 NE Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 6800866914 Reassigns benefits to 1 organization
I20151210000202 AR Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Pulmonary Disease 6800866914 Reassigns benefits to 3 organizations
I20181227000745 IN Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Sleep Medicine 6800866914 Reassigns benefits to 1 organization
I20230314000418 OK Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 6800866914 Reassigns benefits to 1 organization
I20230322002964 AR Practitioner - Pulmonary Disease 6800866914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conway Regional Medical Center IncGroup PAC ID 3173428414, 129 clinicians
Ou Health Partners IncGroup PAC ID 5991105876, 1,167 clinicians

Practice addresses (Care Compare)

525 Western Ave
305A Conway Regional Multispecialty Clinic
Conway, AR 72034-4982
Phone (501) 358-6145

825 NE 10TH St
Oklahoma City, OK 73104-5417
Phone (405) 271-4700

Hospital & facility affiliations

  • O U Medical Center Hospital, Oklahoma City, OK, CCN 370093
  • Conway Regional Medical Center, Inc Hospital, Conway, AR, CCN 040029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
010244150VAMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Fort Smith Communities CurrentSince Oct 9, 2021 Accepting new patients
Deaconess Hospital, Inc Critical Care Medicine CurrentSince Feb 16, 2021 Accepting new patients
Deaconess Hospital Inc CurrentSince Feb 16, 2021 Accepting new patients
Mercy Health Northwest Arkansas Communities Current Accepting new patients
Ou Health Partners, Inc CurrentSince Jan 16, 2023 Accepting new patients
Deaconess Hospital, Inc Current Accepting new patients
Conway Regional Medical Center Inc CurrentSince Mar 8, 2023 Accepting new patients
CHI Health Clinic Specialty, LLC Pulmonary Disease CurrentSince Jul 14, 2022 Accepting new patients
Ou Health Partners, Inc CurrentSince Jan 16, 2023 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Oct 22, 2021 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Oct 23, 2015 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Oct 23, 2015 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Oct 9, 2021 Accepting new patients
Conway Regional Medical Center, Inc Pulmonary Disease CurrentSince Mar 8, 2023 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Oct 22, 2021 Accepting new patients
Ou Medicine Inc. Past Accepting new patients

Locations

3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100

525 Western Ave
Ste 301
Conway, AR 72034
Phone (501) 513-5295

525 Western Ave
Ste 305A
Conway, AR 72034
Phone (501) 358-6145

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

2708 S Rife Medical Ln
Ste T20
Rogers, AR 72758
Phone (479) 338-3080

4600 W Lloyd Expy
Evansville, IN 47712
Phone (812) 450-6311

519 Harriet St
Evansville, IN 47710
Phone (812) 423-9699

4015 Gateway Blvd
#2121
Newburgh, IN 47630
Phone (812) 450-7720

4015 Gateway Blvd
Newburgh, IN 47630
Phone (812) 858-6244

8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440

601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288

825 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-4864

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

1122 NE 13th St
#262
Oklahoma City, OK 73117

Interoperability endpoints

  • Direct secure messaging: salam59643@ouhealth.direct-ci.net
  • Direct secure messaging: shoaib.alam@hca6.eclinicaldirectplus.com

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 16

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1962451245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 POND MILL CT",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230602858",
            "telephone_number": "717-608-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 POND MILL CT",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230602858",
            "telephone_number": "717-608-0040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "519 Harriet St",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477101715",
            "country_code": "US",
            "telephone_number": "812-450-7720",
            "fax_number": "812-450-7730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4015 Gateway Blvd",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "IN",
            "postal_code": "476308925",
            "country_code": "US",
            "telephone_number": "812-450-7720",
            "fax_number": "812-450-7730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALAM",
        "first_name": "SHOAIB",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-06",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "VA",
            "license": "010244150",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VA",
            "license": "0101244150",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "VA",
            "license": "0101244150",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300021573",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009558420001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

Verify at the official NPI Registry.